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The omentum and mesentery were also thickened and adherent to the viscera.
More than 50 cases have been reported since its first description by Kariminejad and Scully.1 However, only 5 cases were reported to be malignant, with metastases found in the omentum , liver, or lung.
Metastatic tumor was present in the bilateral lungs, liver, omentum , bones, bilateral adrenal glands, abdominal lymph nodes, and liver.
Herniated bowel (stomach, small bowel, colon) and solid viscera (liver, omentum , spleen) are seen in the ipsilateral hemithorax causing mediastinal shift.
Intraoperative fine needle aspirates of the pancreas, as well as biopsies from the omentum and regional lymph nodes, were negative for malignancy.
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